Closed reduction transarticular Kirschner wire fixation versus open reduction internal fixation in the treatment of Bennett's fracture dislocation.
Closed reduction and percutaneous pinning is a safe technique having adequate clinical and functional outcomes.
These are
closed reduction and above elbow casting, Blount's technique9 (in which reduction is maintained by a flexed position of the elbow in a collar and cuff sling), skeletal traction,
closed reduction with percutaneous pinning and lastly open reduction and internal fixation.
The approach may be preferred in patients with type 3 paediatric supracondylar humerus fractures in whom
closed reduction may have failed to provide sufficient anatomical reduction.
It may be possible, though unlikely, to achieve
closed reduction of this type of injury, which may increase the risk of iatrogenic osteochondral lesions (6).
Consequently, 5 patients went to theatre immediately, undergoing open reduction and instrumented fusion, obviating the risks of disc prolapse into the spinal canal with
closed reduction, and avoiding the delay in waiting for an MRI.
As a result, open or
closed reduction combined with internal fixation is frequently required.
(13) If it is clear that the patient is deteriorating neurologically or has a neurological complete lesion and the X-rays confirm a dislocation, it would be reasonable to proceed with
closed reduction. There is some weak evidence to suggest early reduction in bifacet dislocations improves outcome, so one would prefer not to delay.
Early treatment of arytenoid subluxation includes direct laryngoscopy and
closed reduction of the subluxated arytenoid with the patient under general anaesthesia or under local anaesthesia with intravenous sedation.
Similarly, it is clinically assumed that patients with internal fixation (ORIF) and
closed reduction by Plaster of Paris should be able to learn ambulation with crutches or frame faster than those on traction.
In the patient history, the examining physician noted that the patient had a
closed reduction of a hip fracture and had spent a week in the hospital before being discharged 1 week earlier.
The operation is called a hip reduction surgery and can be performed as an open or
closed reduction. With
closed reduction, the surgeon moves the head of the femur back into the socket.